NPI | 1134678428 |
---|---|
Entity Type | Organization |
Authorized Contact | SVYATOSLAV SOKOLOVSKIY Owner 585-343-4246 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 51400) |
Enumeration Date | 2016-09-27 |
Last Update Date | 2016-09-27 |