| NPI | 1306915822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD G RUPNARAIN President 718-728-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NY 046368) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 043622) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2012-09-12 |