| NPI | 1720495195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRIYA TRIVEDI Partner/Director 267-981-2652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS038095) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |