| NPI | 1912291246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN GHADIMIAN President 201-750-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI01990205) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2011-06-03 |