| NPI | 1699274829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOKESH C RAO Owner 914-961-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 054821) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: NY 023062) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-06-16 |