| NPI | 1417465402 |
|---|---|
| Doing Business As | DIAMANTE DENTAL |
| Doing Business As | PARADISE DENTAL |
| Entity Type | Organization |
| Authorized Contact | OLEG GENIS Owner 267-886-9474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-06-16 |