| NPI | 1295415123 |
|---|---|
| Doing Business As | PROSTHODONTIC DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JADGEV HEIR CEO/President 518-441-5483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Additional Taxonomies | 122300000X Dentist |
| 1223P0300X Dentist, Periodontics | |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-07-25 |