| NPI | 1114946894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA MILAGROS YAMBAO President 973-218-9190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22D102249400) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |