| NPI | 1275554123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNI BOLAR Owner 732-568-0233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ DI020551) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-08-22 |