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 |