| NPI | 1649673138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PALLAVI CHELLUR Dentist 732-297-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22di02533400) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |