| NPI | 1386135051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHISH SAHUSRABUDHE Owner 516-222-1822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| 1223P0300X Dentist, Periodontics | |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |