| NPI | 1841739588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHID RAHIM AZIZ Owner 973-809-3739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 22DI02188600) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |