| NPI | 1285373654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EHAB AZIZ Owner 201-407-6958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-06-02 |