| NPI | 1629391370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORDECHAI GRABER President 718-535-7090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 050751) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-10-14 |