| NPI | 1013468040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA COOPER Office Manager 973-578-8788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NJ 22DI020716) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |