| NPI | 1932370970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SVETLANA PONOMAREVA Dentist/Owner 212-234-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 049663) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |