| NPI | 1831436328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATHA VOLADRI Dentist 973-815-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI02295900) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |