NPI | 1033484654 |
---|---|
Entity Type | Organization |
Authorized Contact | MEGHAN HERNANDEZ President 551-265-5248 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02411100) |
Enumeration Date | 2012-03-14 |
Last Update Date | 2012-03-14 |