| NPI | 1598632168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SI C SHI-ELSHAROUNY Owner Dentist 516-276-0308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-10-20 |