| NPI | 1861663536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRWIN L AZAR President 718-998-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 0268111) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |