| NPI | 1518099472 |
|---|---|
| Former Legal Business Name | SHALOM DENTAL LLC |
| Entity Type | Organization |
| Authorized Contact | JONATHAN S S UNGAR Owner 732-333-3383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 122300000X Dentist | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2022-07-21 |