| NPI | 1194371583 |
|---|---|
| Doing Business As | PALM HEIGHTS FAMILY DENTAL |
| Doing Business As | ROOSEVELT FAMILY DENTAL AND IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | SUMIT GOGNA Owner 646-907-8057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-13 |