| NPI | 1851372742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMKHA SOLOMON Vice President 718-544-5414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 047709) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 047826) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2009-08-06 |