| NPI | 1467723148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAUSHIK K SUCHAK Manager 917-344-0170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02316700) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |