| NPI | 1205833498 |
|---|---|
| Former Legal Business Name | AESTHETIC DENTISTRY OF SUMMIT LLC |
| Entity Type | Organization |
| Authorized Contact | MINDY OK Owner 908-273-3873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22-DI02025200) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2013-08-12 |