| NPI | 1063621597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYANT P PATEL President Owner 908-769-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 19383) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |