NPI | 1952049074 |
---|---|
Doing Business As | DENTISTRY ON THE PONDS P.L.L.C. |
Entity Type | Organization |
Authorized Contact | MONIL MEHTA President 865-360-4413 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-05-27 |
Last Update Date | 2022-05-27 |