| NPI | 1871988030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDA KALE Dentist/Owner 718-439-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 035474) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |