| NPI | 1720443161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADITI GUPTA Owner/Provider 201-925-0210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 29291) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |