| NPI | 1942584792 |
|---|---|
| Doing Business As | EDEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | SURESH O KOSHY Dentist 914-969-0168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 049853) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |