| NPI | 1407031198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELTON CHAN Owner 732-257-2936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02346200) |
| Enumeration Date | 2008-01-01 |
| Last Update Date | 2008-01-01 |