| NPI | 1073104394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JINOY CAUSBY Office Manager 973-729-9923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-01-29 |