| NPI | 1568199453 |
|---|---|
| Doing Business As | NEXT GEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | SUMAN K KONDRAGUNTA Managing Member 347-631-0848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2022-08-02 |