| NPI | 1780043745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISLAM MOHAMMAD DEHIS President 631-922-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 1856553) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |