| 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 |