| NPI | 1831532878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXIM SULLA Owner 732-625-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 22DI02407801) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |