| NPI | 1164540498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VEDVYAS BAHLANI President 718-803-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 036508) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |