| NPI | 1336734052 |
|---|---|
| Doing Business As | MONTCLAIR PLAZA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SUTHEEP DAVE SRIKUREJA Dentist 909-920-0696 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-08-05 |