NPI | 1992698641 |
---|---|
Doing Business As | EMERALD DENTAL SPA |
Entity Type | Organization |
Authorized Contact | SHIVM SHAH Principal Dentist 908-451-8209 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2025-06-02 |
Last Update Date | 2025-06-08 |