| NPI | 1467971614 |
|---|---|
| Other Name | MODERN DENTAL |
| Entity Type | Organization |
| Authorized Contact | HYUN WON ANNA SHIN Dentist 201-585-1838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI0226700) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2022-07-21 |