| NPI | 1841505344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRABHA KRISHNAN President 718-268-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NY 043558) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |