| NPI | 1992013973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYSORE SANATHKUMAR GANGA President 718-803-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 051064) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2010-09-23 |