| NPI | 1952784464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMIL YOUSEFNAJAD KORORI Owner/Dentist 917-657-4838 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 050370) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |