| NPI | 1376694166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIA BARTKOVA Owner 646-414-6238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 050362) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2012-02-01 |