| NPI | 1578715702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANKAR IYER President 201-659-7717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |