| NPI | 1851815021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MRUNAL PARMAR Owner 201-739-4088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02591600) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02591600) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2017-11-21 |