| NPI | 1629297254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA BARANTSEVICH Dentist 212-247-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 046914) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |