| NPI | 1396376356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IORDANKA PRODANOVA Dentist 212-216-9092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2021-10-29 |