| 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 |