| NPI | 1457771719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITALY VAYNSHTEYN Owner 718-646-5013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 039903) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-25 |