| NPI | 1740616093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSHABH SHAH CEO 908-244-3623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02164702) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2022-01-20 |