| NPI | 1164969325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR LEVIN Dentist 516-798-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI 02242900) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |