| NPI | 1457468555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA MIHAILA GADIDOV Owner 212-685-9243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 036660) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2014-06-24 |