| NPI | 1932372976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIAMAK BARKHORDAR Owner 845-709-0571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 051314) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |