NPI | 1588100028 |
---|---|
Doing Business As | LONG MEADOWS FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | EKTA SAGAR President 917-687-2839 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 31041) |
Enumeration Date | 2017-01-09 |
Last Update Date | 2017-01-09 |