| NPI | 1598328874 |
|---|---|
| Doing Business As | NORTH MAIN DENTAL |
| Entity Type | Organization |
| Authorized Contact | UKTI GOHEL PHADNIS Dentist 203-300-3288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |