| NPI | 1487147757 |
|---|---|
| Former Legal Business Name | S & M DENTAL P.C. |
| Entity Type | Organization |
| Authorized Contact | SERGEY KUZNETSOV Vice President 212-475-7947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |