| NPI | 1093494429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOON HONG Doctor 201-461-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2023-07-14 |