| NPI | 1023479359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALIE MENDIA Office Manager 201-660-7464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: NJ D102532800) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |