| NPI | 1528057643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVEK KASHYAP President 718-779-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 051552) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2020-08-22 |