| NPI | 1760786453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOHEILA ELAAHI Dentist 845-357-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 043052-1) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |