| NPI | 1083826440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJAL J PATEL Owner 973-673-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22D101942400) |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2020-08-22 |