NPI | 1871750117 |
---|---|
Entity Type | Organization |
Authorized Contact | SOFIYA ZINKOVETSKAYA President 718-282-8066 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 049760-1) |
Enumeration Date | 2008-05-22 |
Last Update Date | 2008-05-22 |