NPI | 1205210556 |
---|---|
Doing Business As | LIC DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | ISHWINDER SARAN Dentist, Owner 718-530-6539 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY NY057422-1) |
Enumeration Date | 2015-07-16 |
Last Update Date | 2015-07-16 |