| NPI | 1093147266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OTILIA MARTICORENA President Dentist 908-355-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22DI01915100) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |