| NPI | 1689858508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENRICH SHVARTS Owner 917-291-0416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 047392) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2008-07-31 |