| NPI | 1881097293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONALI MA President 215-485-8757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22DI02522600) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: NJ 22DI02521000) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-10-02 |