| NPI | 1629503123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSHABH DOSHI Managing Member 201-920-1917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 32099) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 30885) |
| Enumeration Date | 2017-04-22 |
| Last Update Date | 2017-04-22 |