| NPI | 1619855947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORDECHAI FRIED Owner/ Dentist 516-850-4045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-08-25 |