NPI | 1811476526 |
---|---|
Former Name | KUNAL SANGROY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE61443020) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NV 7128) |
Enumeration Date | 2018-08-13 |
Last Update Date | 2023-08-01 |