| NPI | 1386187714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIYA KHAN Owner 856-638-5266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02282300) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2016-12-03 |
| Last Update Date | 2023-01-05 |