| NPI | 1700335478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKHILESH GORUKANTI General Dentist 908-698-3206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1856869) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |