| NPI | 1538573720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARIQ AZIZ VAZIR President 856-428-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 22DI02490200) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-16 |