| NPI | 1679690408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA CHADDA President 908-626-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: NJ 22DI02028200) |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2020-08-22 |