| NPI | 1427220474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRENDRA SHAH General Dentist 718-649-1398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 033327) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2023-09-06 |