| NPI | 1699056978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHKAN NASIM Officer/Dentist 718-850-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 054971) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |