NPI | 1295522753 |
---|---|
Entity Type | Organization |
Authorized Contact | A M SOHAL MAHAMUD Chief Executive Officer 929-350-7495 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2025-04-21 |
Last Update Date | 2025-05-23 |