| NPI | 1740626266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULIAN AMINOV President 212-203-1611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CT 010859) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-05-13 |