| NPI | 1568885168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKLESHKUMAR I PATEL Owner 267-799-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PA DS039670) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2014-02-03 |