| NPI | 1285741140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADISLAV SHIKHMANTER Practitioner/President 718-317-1737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 048325) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |