| NPI | 1063820462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMESH KIANFAR President 201-724-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-10-29 |