| NPI | 1114068038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHESTER CHARLES CHIANESE President 732-349-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 22DI02173600) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |