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 |