| NPI | 1033353909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH NACHMAN-MANGOT Manager 201-785-4146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01871000) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |