| NPI | 1669912952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHAVI KUNDURU Office Manager 732-364-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02567701) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |