| NPI | 1902907744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGE KUPETZ Doctor Owner 718-462-7436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 049097) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2013-06-07 |