| NPI | 1134286628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PHILLIP PRASAD Owner 973-676-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01359501) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |