| NPI | 1366770232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA RABICHEV President 917-476-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 0441781) |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2009-12-03 |