| NPI | 1003316324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA E MEJIA Dr 201-943-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22d102696600) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-02-13 |