NPI | 1861523771 |
---|---|
Entity Type | Organization |
Authorized Contact | SERGUEI KOPETSKOV President 646-827-9819 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 049097) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2020-08-22 |