| NPI | 1396243754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEETA CHAINANI Director 347-933-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 036727) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |