| NPI | 1316356793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NILESH PATEL R Member 732-713-0215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NJ DI22885) |
| Enumeration Date | 2014-08-10 |
| Last Update Date | 2014-08-10 |