| NPI | 1427399815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRUNAL PATEL Dds 973-767-3283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL 19874) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: FL 19875) |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2013-05-31 |