| NPI | 1003059965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WEIMIN JIN Owner 973-784-4749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02217100) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI02289200) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-04-08 |