| NPI | 1053961359 |
|---|---|
| Doing Business As | SKYLASERDENTAL, INC. |
| Entity Type | Organization |
| Authorized Contact | LYUSYA R BADISHYAN President 267-571-2483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |