| NPI | 1881608701 |
|---|---|
| Doing Business As | MANHATTAN MALL DENTAL PC |
| Entity Type | Organization |
| Authorized Contact | ALEXANDER MIKHAILOR President 212-239-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |