| NPI | 1194997460 |
|---|---|
| Doing Business As | MORICHES DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | KRISHNASWAMY JAYADEVAN Owner 631-874-4707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |