| NPI | 1497801955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERA KUZNETSOVA General Dentist 718-336-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 048358-1) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |