| NPI | 1548741937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRIYANKA VADDI President 607-331-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS038699) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2018-08-24 |