| NPI | 1790090272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARDESHIR TAHERI-TAFRESHI President 718-761-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 054824) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2014-10-27 |