| NPI | 1073671632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA ALEKSEYEVA Dentist 718-376-1666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 047231) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2008-06-17 |