| NPI | 1598918468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REVATHI LAXMINARAYAN Dentist 914-423-2493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 033316) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 044823) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2008-10-23 |