| NPI | 1922316652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMAN ROKSAR Dentist 516-579-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NY 046545) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 054549) |
| 1223G0001X Dentist, General Practice (Licence: NY 046933) | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2016-01-13 |