NPI | 1124289533 |
---|---|
Former Legal Business Name | ROCKAWAY DENTAL |
Entity Type | Organization |
Authorized Contact | SANDEEP BHAGAT Owner 718-429-5256 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 048767) |
Enumeration Date | 2008-06-18 |
Last Update Date | 2008-06-18 |