| NPI | 1982888384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA DIEM NGUYEN President 908-647-0747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DIO2218800) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |