| NPI | 1225209356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEXANDER LYASKIVNTSKY President 508-746-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 20688) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |