| NPI | 1932816501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHU VENKATA RAMA RAJU NADIMPALLI General Dentist / Owner 201-257-7095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2022-11-02 |