| NPI | 1497283022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAZNEEN REHAN JAFFRI President 917-886-9048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CT 11707) |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2022-07-21 |