| NPI | 1588949804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA SAPOZHNIKOFF President 718-545-7046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 054200) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2012-01-10 |