| NPI | 1013183896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MARRONE Owner 201-585-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: NJ DI15888-01) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |