| NPI | 1033449954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KALLIS Owner 201-567-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: NJ DI15472) |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2009-12-29 |