| NPI | 1366875528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAHEL YANNI Dentist 732-254-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NJ 22DI2208200) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |