| NPI | 1285092015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOBHA NARASIMHAN Owner 732-991-7803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CA 64147) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2021-10-19 |