| NPI | 1881074813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUNAL BHALLA Dentist 917-574-0508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1856422) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |