| NPI | 1114151057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN NAGURKA Office Manager 201-867-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-06-10 |