| NPI | 1871810119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUKRITA MATTA Dentist 908-410-1389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 052041) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-04-27 |