NPI | 1316381437 |
---|---|
Entity Type | Organization |
Authorized Contact | PREETHA A KURUVILLA President 718-347-8787 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 048922) |
Enumeration Date | 2013-04-19 |
Last Update Date | 2013-04-19 |