NPI | 1083827257 |
---|---|
Doing Business As | PARKSIDE DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | ELAINE SUMIRE OTSUKA President 201-461-0130 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2007-05-07 |
Last Update Date | 2020-08-22 |