| NPI | 1770657306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MM ABDUR ROB Owner Dentist 718-731-6176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 046039) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2014-06-25 |