| NPI | 1083932008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA GABRILYANTS President 718-299-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2010-05-14 |