| NPI | 1679469639 |
|---|---|
| Doing Business As | SAN JOSE DENTAL SPA |
| Entity Type | Organization |
| Authorized Contact | PRIYANKA VARAKANTAM Owner/ Dentist 516-972-5472 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-06-16 |