| NPI | 1134487457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATHISH IYER Proprieter 732-737-7336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI023249) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |