| NPI | 1801577531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY CHEN Owner 732-322-5733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2023-07-26 |