| NPI | 1104442706 |
|---|---|
| Doing Business As | WILLIAMSBURG DENTAL WORKS |
| Entity Type | Organization |
| Authorized Contact | IGOR DEKHKANOV Dentist 718-349-5912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 1223G0001X Dentist, General Practice | |
| 1223P0300X Dentist, Periodontics | |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |