| NPI | 1447422720 |
|---|---|
| Former Legal Business Name | DENTAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | KRISHNASWAMY JAYADEVAN Owner 631-567-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 034016) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |