| NPI | 1790235315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRIYA DUGGAL Periodontist 973-955-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 1223P0300X Dentist, Periodontics | |
| 124Q00000X Dental Hygienist | |
| 1223P0300X Dentist, Periodontics (Licence: NJ 22DI020689) | |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-10 |