NPI | 1033395934 |
---|---|
Entity Type | Organization |
Authorized Contact | BARRY LAURENCE JACOBSON Owner 201-837-1612 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ DI19069) |
Enumeration Date | 2008-01-10 |
Last Update Date | 2008-01-10 |