| NPI | 1831971605 |
|---|---|
| Doing Business As | 360 DENTAL LOUNGE |
| Entity Type | Organization |
| Authorized Contact | RINI BAVISHI Doctor 201-920-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-10-17 |