| NPI | 1043441876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASMI O CRYSTAL Owner 732-356-1830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ DI15948) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2009-07-28 |