| NPI | 1104349232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD PRAGER Co Owner 917-273-5119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI02048700) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2017-07-20 |