| NPI | 1346640190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA BARANTSEVICH President 212-247-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 046914) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |