| NPI | 1679641401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELA L HIJAZIN Owner 914-381-0778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 049140) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |