| NPI | 1801956628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH P. PRASAD Owner 908-686-0302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01359501) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |