| NPI | 1497945604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONISHA IYER Doctor 856-810-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22D102071880) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22D102226700) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |