Mohegan Lake Dental PC
NPI #1164974853 in Mohegan Lake, New York
Provider Information
- NPI Number
- 1164974853
- Entity Type
- Organization
- Organization Name
- Mohegan Lake Dental PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 27, 2016
- Last Updated
- Oct 27, 2016
Practice Location
- Address
- 1719 E MAIN ST
- City
- Mohegan Lake
- State
- New York
- ZIP Code
- 10547-1356
- Phone
- (914) 528-2191
Authorized Official
- Name
- DR. OJAS V. SHAH, DDS
- Title
- OWNER/PRESIDENT
- Phone
- (914) 310-1609
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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