| NPI | 1063522456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEKSEY NOVAKHOV Owner 908-353-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22D102233400) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22D102059900) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |