| NPI | 1144570839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHUPINDER SINGH BHATTAL Director 518-491-4553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 049797-1) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |