| NPI | 1083820427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJAL J PATEL President 973-366-6662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 22D101942400) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NJ 22D102236602) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |