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 |