| NPI | 1831402536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID TABAROKI Oral Surgeon 718-544-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 047690) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 052330) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |