NPI | 1073896809 |
---|---|
Entity Type | Organization |
Authorized Contact | SUZANNE WALTKE Office Manager 201-767-4001 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 22DI02332400) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 22DI01547211) |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 22DI01805400) | |
Enumeration Date | 2011-09-28 |
Last Update Date | 2011-09-28 |