| NPI | 1699620112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMAD SARRAJ Owner 267-648-6428 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2026-03-02 |
| Last Update Date | 2026-03-02 |