| NPI | 1508544891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHU VENKATA RAMA RAJU NADIMPALLI General Dentist/ Owner 201-257-7095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2023-07-07 |