| NPI | 1831440833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAIRAJ AHMED Owner / Orthodontist 718-684-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 051790) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |