| NPI | 1487054938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIGAR S GANDHI Owner 516-797-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 055149) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: NY 055149) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2015-07-06 |