| NPI | 1013059104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRITI G SHAH President 732-390-7645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 22DI02176800) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |