| NPI | 1386402253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIMESH PATEL Owner 845-842-1728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |