| NPI | 1003108051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER DEMETRIUS TSAMBAZIS Owner 973-586-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ 18218) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 18218) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2011-05-10 |