| NPI | 1043685324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES MASELLA Owner 973-226-3242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI02287800) |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2015-12-11 |