| NPI | 1093951287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUSEF MOUSSA President 973-338-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NJ D102294800) |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-18 |