| NPI | 1851381859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIYA BERGER President 718-373-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 038037-1) |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2020-08-22 |