NPI | 1093876336 |
---|---|
Entity Type | Organization |
Authorized Contact | VISHVESHWAR S BATHEJA Owner 631-673-1862 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 035459) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2008-06-19 |