| NPI | 1992088785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIREEN MALIK Dentist 917-239-9313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS038604) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |