| NPI | 1326574682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAGAR SHAH Dentist / Owner 516-410-7586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 056704) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-05 |