| NPI | 1396258000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUHEL DUKANWALA Owner 908-265-2986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019.031286) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |