| NPI | 1578714283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI JOHN JAZAYERI President 718-604-2377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 053328) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |