| NPI | 1114434511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRIJANA POKHREL President 917-513-8150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental (Licence: CA 65313) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2022-01-10 |