| 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 |