| NPI | 1033759139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOO JIN SHIN Partner 973-942-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |