| NPI | 1225290547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADIA POUSTOVOIT Owner 718-709-4611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 038032) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2023-12-07 |