| NPI | 1174932396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA STEPANSKY Dentist 267-467-0265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS029548L) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |