| 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 |