NPI | 1306503792 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXANDER MUSHEYEV Partner 718-366-0070 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2021-11-21 |
Last Update Date | 2021-11-21 |