| NPI | 1437839354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JADGEV HEIR CEO/President 518-441-5483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-07-25 |