| NPI | 1073940656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRADIP SHETYE President 917-553-0349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 055911) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-10-02 |