| NPI | 1992972012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SULTAN SALEM D.D.S 516-520-5858 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY 049840) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |