| NPI | 1740993617 |
|---|---|
| Doing Business As | SOUL DENTAL AMSTERDAM |
| Entity Type | Organization |
| Authorized Contact | VADIM YUNGELSON Admininistartor 917-477-9343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-01-05 |