| NPI | 1609656891 |
|---|---|
| Doing Business As | BOERUM HILL DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | LEONID NASHTATIK President 917-295-9214 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-04 |