| NPI | 1558787952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMIN BAHRAM Owner 732-972-9950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22di02481600) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2014-03-10 |