| NPI | 1891573135 |
|---|---|
| Doing Business As | IDEAL SMILES |
| Entity Type | Organization |
| Authorized Contact | TYGRAN PAHLEVANYAN Dentist 315-256-7355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |