| NPI | 1780990622 |
|---|---|
| Doing Business As | GROVE DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | SUSHMA HALTHORE President 201-200-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02366200) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2023-06-21 |