| NPI | 1487447298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JIN Owner/Member 201-224-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2025-05-24 |
| Last Update Date | 2025-08-09 |