| NPI | 1770958167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SHINMACHI Owner/Orthodontist 732-618-2614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22di02566201) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |