| NPI | 1962847020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIRA RATHOD Office Manager 973-772-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ Di0227391) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ Di2443200) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |