| NPI | 1003958398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENTINA KRIVOSHEYEVA Vice President 212-569-4652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 046105) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |