| NPI | 1164859062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEG KLEMPNER Owner/Manager 718-294-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 044129) |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2013-10-09 |