| NPI | 1801192323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDELAZIZ OUZIDANE President Of Corporation 718-238-4133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2011-01-31 |