| NPI | 1699946467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHNAAZ GILL Owner 718-652-0290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 049469-1) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |