| NPI | 1578839262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHIN GHOBADI Owner/Oral Surgeon 973-732-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: NJ 22DI02332400) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |