| NPI | 1568829414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIRDESH PARIKH Manager 732-688-1877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NJ 22DI02487900) |
| Enumeration Date | 2016-01-23 |
| Last Update Date | 2016-01-23 |