| NPI | 1083856827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER MIKHAILOV Owner 212-543-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 041796) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2009-03-25 |