| NPI | 1780115220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NESRINE BESTANDJI Member 908-400-2954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02466900) |
| Enumeration Date | 2017-03-26 |
| Last Update Date | 2017-03-26 |