| NPI | 1659525491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASANTI KRISHNAN President/Dentist 718-384-6455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 038108) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |