| NPI | 1609314962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUMA KALARIA Partner 732-727-0895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22DI02383502) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02406100) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |