| NPI | 1104839513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE M BERMAN Vice President 973-777-2524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI15106) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |