| NPI | 1962513986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAHRAM HAMIDI President 212-346-0893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: NY 0472584) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NY 048739) |
| 1223P0300X Dentist Periodontics (Licence: NY 047254) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-11-04 |