| NPI | 1437321163 |
|---|---|
| Other Name | FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA KHAIMOV Dentist 718-446-5775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 050666) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |