| NPI | 1245611672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZALIYA AKBASHEVA Owner 267-262-2834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS037477) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |