| NPI | 1548741267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHISH SAHASRABUDHE Owner 516-222-1822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics |
| Additional Taxonomies | 1223P0106X Dentist Oral and Maxillofacial Pathology |
| 1223P0300X Dentist Periodontics | |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |