| NPI | 1487970422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UMESH MAHINDRA Owner 212-265-6419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 034658) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 052927) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-15 |