| NPI | 1295930717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAT F CHIANG Principal 908-218-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ 22DI01359300) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-08-22 |