| NPI | 1780064451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARESH SHAH Sole Member LLC 201-647-6778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI02314300) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |