| NPI | 1295266930 |
|---|---|
| Doing Business As | GENTLE DENTAL |
| Entity Type | Organization |
| Authorized Contact | ROBERT FATAKHOV Owner 718-485-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 054434) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 051345) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |