| NPI | 1114230299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR ABDIYEV Owner 718-339-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 0539461) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-19 |