| NPI | 1144549171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANUBAL GOPALASWAMY Owner 845-290-6003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 034889) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2010-06-01 |