NPI | 1154709996 |
---|---|
Entity Type | Organization |
Authorized Contact | ADITI GUPTA Dentist/Owner 201-925-0210 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 29291) |
Enumeration Date | 2015-05-13 |
Last Update Date | 2015-05-13 |