| NPI | 1235305756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POLINA KIPNIS TSEITLINA General Dentist 718-627-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 043875) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |