NPI | 1023500030 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY HAIMSON Dmd, Owner 201-247-1758 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22D10742400) |
Enumeration Date | 2018-06-05 |
Last Update Date | 2018-06-05 |