| NPI | 1306141080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAVITHA CHADHALAVADA Owner Dentist 856-325-0560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS037335) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2013-07-30 |