| NPI | 1396071577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISIOMA ANTHONIA OKONMAH Owner/President 908-906-8172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 7842) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2009-10-23 |