| NPI | 1013129543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALYA MUSHEYEV Dentis 718-424-4884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: 048711-1) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |