| NPI | 1124405188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHIT H PATEL Owner 917-861-1439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CT 010198) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |