| NPI | 1235595687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANKET KARMARKAR Organizer And Registered Agent 201-356-7689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |