| NPI | 1306901095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN NICHOALS CHAPLIK Owner 347-628-7548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 052098) |
| Enumeration Date | 2006-12-25 |
| Last Update Date | 2008-03-21 |