| NPI | 1730486325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANJOTE DHALIWAL Pediatric Dentist 917-664-5120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019.027589) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-03-15 |