| NPI | 1023328267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGEY MOLTON President 973-479-3352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 045359) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22D102030400) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2011-08-18 |