| NPI | 1811030745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEG KRUGLYANSKY Partner 718-836-1716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 049466) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |