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 |