| NPI | 1023161452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIY KANATOV Office Manager 914-632-4446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 049060) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2009-03-11 |