NPI | 1215196944 |
---|---|
Doing Business As | DYNASTY DENTAL CARE |
Entity Type | Organization |
Authorized Contact | ALEXANDER BORUKHOV Owner 718-830-6263 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NY 048512) |
Enumeration Date | 2008-06-06 |
Last Update Date | 2008-06-06 |