| NPI | 1730483496 |
|---|---|
| Doing Business As | CRESTWOOD FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SUNDEEP C JOHAL President 732-713-4768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 21313) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |