| NPI | 1043477565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER FUENTES Owner/President 201-865-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22907) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |