| NPI | 1952544033 |
|---|---|
| Doing Business As | HARLEM FACULTY PRACTICE - ORAL |
| Entity Type | Organization |
| Authorized Contact | SUDHA PENTYALA Director 718-579-6021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |