NPI | 1275706715 |
---|---|
Entity Type | Organization |
Authorized Contact | VARSHA D SHAH President 718-933-0998 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 033490) |
Enumeration Date | 2008-04-04 |
Last Update Date | 2008-04-04 |