| NPI | 1487867099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUTINDER SINGH KOHLI Dentist 386-255-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN13107) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2014-11-03 |