| NPI | 1629290663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHESHKUMAR K SHAH Owner 201-861-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 19391) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2009-04-16 |