| NPI | 1962121699 |
|---|---|
| Doing Business As | PRIMA DENTAL |
| Entity Type | Organization |
| Authorized Contact | SOHA SHAMAS Owner 917-853-6638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-08-25 |