| NPI | 1548544471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PREETI GUPTA Pediatric Dentist 201-475-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22DI02290400) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02285400) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02290400) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 22DI02285400) | |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2011-10-11 |