| NPI | 1659612158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEHA SHAH Owner 609-568-6415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-03-07 |