| NPI | 1073160487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAISRI R THOPPAY President 407-664-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223X2210X Dentist, Orofacial Pain |
| 125Q00000X Oral Medicine | |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2020-01-17 |