| NPI | 1396069118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEEP SINGLA President 518-209-0524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: NJ D102336300) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2010-03-23 |