| NPI | 1265620975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARJOT KAUR Owner 718-457-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 052310-1) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 052310-1) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-27 |