| 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 |