| NPI | 1467171082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YATIN KHANNA President 718-915-3713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Additional Taxonomies | 122300000X Dentist |
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-08-25 |