| NPI | 1538615406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITHA R GADEKARLA President 732-662-7497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-31 |