| 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 |