Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DTP 389 | FL |
NPI | 1205884251 |
---|---|
Provider Name | Dr. Ajay Ojha |
First Address | Gainesville, FL 32610-0405 |
Second Address | Gainesville, FL 32610-0405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 08/07/2007 |