| NPI | 1285328641 |
|---|---|
| Doing Business As | KEW GARDENS SMILES DENTAL |
| Entity Type | Organization |
| Authorized Contact | DANIEL BARAYEV President 917-916-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2023-06-07 |