| NPI | 1003543992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRIY ROZENFELD Manager 917-868-7013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2022-08-02 |