| NPI | 1497069470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHAIM KALANTAROV President 718-874-6969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 053757) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2010-11-04 |