| NPI | 1659538791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRADEEP RAMAKRISHNAN Dentist 718-218-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 048303) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |