NPI | 1558533414 |
---|---|
Entity Type | Organization |
Authorized Contact | NATALIA A BLAZHKEVICH President 718-649-6677 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 048909) |
Enumeration Date | 2008-03-31 |
Last Update Date | 2008-03-31 |