| NPI | 1013463090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAINESH DESAI Principal Member 917-519-5947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NJ 22di02334300) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |