| NPI | 1033381215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAIBHAVI PRADHAN Partner 718-652-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 0033449) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |