| NPI | 1902299928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEMA KISHORE CHAPALA Owner 917-376-4408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 26470) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |