| NPI | 1124364880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ABBATICCHIO Owner 732-806-2026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS038225) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2019-02-20 |