| NPI | 1679651079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMADREZA ZARRINNEGAR President 646-262-0113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 60836) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 60836) |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: NY 60836) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 60836) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2008-10-17 |