| NPI | 1063812006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVINASH BABHU KUTTUVA Owner 609-802-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 23225) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |