NPI | 1215375365 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW DORMESHIAN Owner 917-847-6976 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS036490) |
Enumeration Date | 2013-06-11 |
Last Update Date | 2013-06-11 |