NPI | 1417223637 |
---|---|
Doing Business As | NEW FALLS DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | NISHITA IRUKULLA Authorized Member 609-759-0194 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2012-04-02 |
Last Update Date | 2012-04-02 |