| NPI | 1043439227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE STEVEN LIZZACK President 201-797-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI00944300) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |