NPI | 1922788934 |
---|---|
Entity Type | Organization |
Authorized Contact | JADGEV HEIR CEO/President 518-441-5483 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2023-07-24 |
Last Update Date | 2023-07-24 |