| NPI | 1548477417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTEBAN CHAN Doctor 732-946-4644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI02076102) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |