| NPI | 1851987622 |
|---|---|
| Other Name | UNIVERSITY DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | RAFAEL ISAKHAROV Owner/Dentist 718-897-9745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2021-04-26 |