| NPI | 1447502000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAVEL A KRYKHTIN Dentist 518-727-6429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN18905) |
| Enumeration Date | 2012-10-07 |
| Last Update Date | 2012-10-07 |