| NPI | 1871349548 |
|---|---|
| Former Legal Business Name | MAYFAIR DENTAL PROFESSIONAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | ASH BATRA CEO 267-640-8277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-10-10 |