NPI | 1871232249 |
---|---|
Doing Business As | LIC DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | ISHWINDER SARAN Owner 718-530-6539 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-06-02 |
Last Update Date | 2022-06-02 |