| NPI | 1609204460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAYAM KASHANI Sole Member 718-335-3368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 049494) |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2013-10-14 |