| NPI | 1124245196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE E. WEINER Owner 201-891-5424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI 19510) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |