| NPI | 1104246701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUSEF MOUSSA Dentist 973-338-9191 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI02294800) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |