| NPI | 1811552367 |
|---|---|
| Doing Business As | FORT GREENE PEDIATRIC DENTISTRY PLLC |
| Entity Type | Organization |
| Authorized Contact | PAVEL ZEYLIKMAN President 917-326-0205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |