| NPI | 1841289170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEG P KLEMPNER President 718-565-5445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 044129-1) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2020-08-22 |