| NPI | 1619751740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENA RAKHMETZYANOV VP Of Marketing 224-628-0322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2025-12-08 |