| NPI | 1568894798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKILA JAGADISH ANGADI Owner 516-770-3441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS037256) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |