| NPI | 1497087019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYUZANNA ISMAILOVA-ARONOV President 347-885-4796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 054068-1) |
| Enumeration Date | 2010-02-06 |
| Last Update Date | 2010-02-06 |