Boutique Dental
NPI #1285079962 in Glendale, New York
Provider Information
- NPI Number
- 1285079962
- Entity Type
- Organization
- Organization Name
- Boutique Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 7, 2013
- Last Updated
- Jul 19, 2014
Practice Location
Authorized Official
- Name
- DR. YELENA M MULLAKANDOVA, DDS
- Title
- OWNER/DENTIST
- Phone
- (917) 640-1100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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