| NPI | 1780090720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANIL SHAH Dentist 201-248-1286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS039945) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |