| NPI | 1043684210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMISH PATEL Owner/Dentist 267-221-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS039365) |
| 122300000X Dentist (Licence: PA DS038087) | |
| 122300000X Dentist (Licence: PA DS030684L) | |
| 122300000X Dentist (Licence: PA DS020804L) | |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2015-11-25 |