| NPI | 1518028026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKHAIL SHULMAN Sole Owner 973-478-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2024-05-14 |