| NPI | 1790936219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NABIL FARRA SAMARNEH General Dentist 718-545-6562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 051825) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |