| NPI | 1033378575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED MANSOORUL IMAM President 201-385-0013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 20895) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |