| NPI | 1790907913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PROLAY POLAY Owner 908-351-6996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02139701) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |