| NPI | 1578713723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NABILA YASMIN MANNAN Dentist/Owner 718-433-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 047199-1) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |