| NPI | 1104091644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BEALS Mng. Director, Center For Dentistry 201-996-5674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |