| NPI | 1790804920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIR P PATEL Sole Member 973-743-1755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 20649) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |