NPI | 1609154723 |
---|---|
Former Name | REESHA PATEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02700400) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 055653) |
Enumeration Date | 2011-07-22 |
Last Update Date | 2023-11-08 |