| NPI | 1861667917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED DAMJI Dentist 718-992-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 035720) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 034676) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |