| NPI | 1083897375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SVETLANA B. KONSTANTINOVA Co Owner 908-354-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI02322000) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-10 |