| 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 |