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 |