| NPI | 1912256678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KALIMIAN Owner 718-458-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 050586) |
| Enumeration Date | 2012-09-09 |
| Last Update Date | 2012-09-09 |