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 |