| NPI | 1629488267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIAN SADEGHI Surgeon 347-579-5159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 051861) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 053277) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |