| NPI | 1811365976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJINDER KAUR Dentist 857-234-9132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: VA 0401414540) |
| Enumeration Date | 2015-09-07 |
| Last Update Date | 2015-09-07 |