| NPI | 1700887353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN GHORASHI Owner 201-818-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22DI01967000) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI01928100) |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2020-08-22 |