| NPI | 1295068278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAJU MATHEW Owner/Doctor 212-580-1140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 050711) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |