| NPI | 1740400712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEENA JAISWAL Owner Dentist 516-797-7521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 0415541) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2015-02-12 |