| NPI | 1366985491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESAL SHAH President 516-395-2659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 052986) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |