NPI | 1013491422 |
---|---|
Doing Business As | ULTRA DENTAL LLC |
Entity Type | Organization |
Authorized Contact | GAGANDEEP SINGH Dentist 516-341-8678 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2018-09-20 |
Last Update Date | 2018-09-20 |