| NPI | 1528257367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INNA SAPOZHNIKOV Director 212-360-6020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 047396) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |