NPI | 1013123801 |
---|---|
Entity Type | Organization |
Authorized Contact | BHAGWATI J MISTRY President 914-631-2134 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 034556) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2020-08-22 |