| Organization Name: | S.N. FAMILY DENTAL CENTER II |
| NPI Number: | 1245476399 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NAVNEET KAUR RAI (OWNER) |
| Mailing Address: | 180 N Main St Milltown |
| State: | NJ US |
| Postal Code: | 088501418 |
| Phone Number: | 7322473684 |
| Fax Number: | 7322470066 |
| NPI Enumeration Date: | 12/19/2008 |
| NPI Last Update Date: | 12/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 22DI02193402 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |