| NPI | 1871707968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYENDRA AMBALAL PANCHAL President 718-492-9211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 038066) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |