| NPI | 1750809232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PANKAJ PURI Co Owner 908-347-5724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ DI20733) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |