NPI | 1649843798 |
---|---|
Entity Type | Organization |
Authorized Contact | MEIRREL HOSNY Owner 646-388-2791 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2021-07-16 |
Last Update Date | 2021-07-16 |