| NPI | 1700768058 |
|---|---|
| Doing Business As | SUITE 905 DENTAL |
| Entity Type | Organization |
| Authorized Contact | SVETLANA ORIT FARADJEWA Dentist 917-826-2560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-07-25 |
| Last Update Date | 2025-07-25 |