| NPI | 1033415013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL I KATAYEV President 212-518-3375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 052850) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2011-02-08 |