| NPI | 1730910704 |
|---|---|
| Doing Business As | 515OMS |
| Entity Type | Organization |
| Authorized Contact | ANDREI MARK Owner 212-765-5030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-10-08 |