| NPI | 1053533729 |
|---|---|
| Former Legal Business Name | MALCOLM-DERSH, P.A. |
| Entity Type | Organization |
| Authorized Contact | DAVID A DERSH Owner 908-232-8455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 14637) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |