| NPI | 1205563822 |
|---|---|
| Doing Business As | FAMILY DENTISTRY OF DERBY |
| Entity Type | Organization |
| Authorized Contact | TETYANA POHORLETSKA Manager 347-323-1715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2022-09-13 |