| NPI | 1457112948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAGDEV SINGH HEIR CEO/President 518-441-5483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223E0200X Dentist Endodontics |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |