| NPI | 1245695907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEMA KISHORE CHAPALA President 917-376-4408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 26470) |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |