| NPI | 1225197361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANORAMA GUNTUNUR General Dentist 201-869-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI20520) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |