| NPI | 1205624749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAGDEV HEIR CEO/President 518-441-5483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist Dental Public Health |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2025-04-25 |