NPI | 1891894515 |
---|---|
Entity Type | Organization |
Authorized Contact | SHASHIKANT TOLIA President 718-821-1516 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 032741) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2020-08-22 |