| NPI | 1033248844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEJAL U SHAH President 718-739-6961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 048976-1) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-12-31 |