| NPI | 1649398850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED IBRAHIM BADAWY Owner 718-238-4170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 041303) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |