| NPI | 1487620316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDHAKAR Y SHETTY President 718-847-8023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 034912) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2020-08-22 |