| NPI | 1457032807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KINNAR RAMESHCHANDRA SHAH President, Owner 215-385-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2023-07-28 |