| NPI | 1770881310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERY DUHOVIKOV Dentis/General 718-948-0870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 038986-1) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-03-07 |