| NPI | 1659628402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA SHAMUELOVA-TETRI President 917-748-1742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 051738) |
| Enumeration Date | 2012-08-11 |
| Last Update Date | 2012-08-11 |