| NPI | 1639613771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULIAN AMINOV Dentist 212-203-1611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 010859) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |