| NPI | 1225210941 |
|---|---|
| Doing Business As | ROOSEVELT DENTAL |
| Entity Type | Organization |
| Authorized Contact | RATNA MONGA Dentist 718-359-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 053273) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |