| NPI | 1952573594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMY FATOUH President 718-617-0624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 041973) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-03-24 |