| NPI | 1730347774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOFYA VAYNSHTEYN Owner 718-436-9245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 038940-1) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 040479) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |