| NPI | 1588022297 |
|---|---|
| Doing Business As | EASTSIDE DENTAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JYOTI SRIVASTAVA CEO 212-758-9498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-08-30 |