| NPI | 1124316104 |
|---|---|
| Doing Business As | DR. DENTAL |
| Entity Type | Organization |
| Authorized Contact | ARTHUR REVECHKIS Manager 201-725-0372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 010025) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |