| NPI | 1558444232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENTIN BAXMAN Dentist 718-336-6321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 0466662) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |