| NPI | 1043724222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDINI HUDSON Owner 901-647-8064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 22DI02615800) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |