| NPI | 1487935391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIAN SADEGHI Manager 718-565-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 051861) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-06 |