| NPI | 1063586691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMAN LARRY WALDMAN President 973-539-1434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22D100869600) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |