| NPI | 1396056008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKAS GOEL President 315-655-5885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 053611) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 034303) |
| 1223G0001X Dentist, General Practice (Licence: NY 057920) | |
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2019-02-26 |