| 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 |