| NPI | 1902135239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHSEN M NOURBAKHSH Owner 973-455-1033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ DI19246) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2009-12-16 |