| NPI | 1053778118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARCHANA MANOHAR LANKUPALLI Owner 732-688-5939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25821) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 25741) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |