| NPI | 1366995243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURY SLEPAK President 718-998-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 047701) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |