NPI | 1649441742 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEKSEY NOVAKHOV Owner 908-353-5400 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02059900) |
Enumeration Date | 2008-03-17 |
Last Update Date | 2008-03-17 |