| NPI | 1023643889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SKOLNICK Owner 973-578-8788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223P0300X Dentist, Periodontics | |
| 122300000X Dentist | |
| 1223E0200X Dentist, Endodontics | |
| 124Q00000X Dental Hygienist | |
| 126800000X Dental Assistant | |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |