| NPI | 1225636400 |
|---|---|
| Doing Business As | BOWTIE DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | NINA KOKILASHVILI President 929-300-0702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-10-11 |
| Last Update Date | 2020-10-11 |