| NPI | 1720357726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRYAR SEDGH President 718-384-2662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 047141) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NY 043066) |
| 1223G0001X Dentist General Practice (Licence: NY 046985) | |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |