| NPI | 1033301114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKLYN MADURO Owner 973-267-0270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI02263500) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |