NPI | 1053391284 |
---|---|
Former Legal Business Name | AVO SAMUELIAN DDS |
Entity Type | Organization |
Authorized Contact | AVO ARSEN SAMUELIAN Owner Member 212-253-1850 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 048122) |
Enumeration Date | 2006-01-23 |
Last Update Date | 2020-08-22 |