NPI | 1215626528 |
---|---|
Doing Business As | SADI MD |
Entity Type | Organization |
Authorized Contact | SIMONE WILSON Director Of Credentialing 732-731-8398 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2023-05-02 |
Last Update Date | 2024-09-06 |