| NPI | 1649907452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALENA BUKHAR President 347-394-8165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2022-08-02 |