| NPI | 1912576885 |
|---|---|
| Doing Business As | TOTAL DENTAL |
| Entity Type | Organization |
| Authorized Contact | VICK THAKKAR Dentist 917-691-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2021-06-23 |