| NPI | 1548915879 |
|---|---|
| Former Legal Business Name | SHRADDHA ADHVARYU, DDS, MDS |
| Entity Type | Organization |
| Authorized Contact | SHRADDHA ADHVARYU President 516-746-3654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-02-17 |