| NPI | 1124627856 |
|---|---|
| Former Legal Business Name | DUO DENTAL GROUP OF UNION LLC |
| Entity Type | Organization |
| Authorized Contact | CHARLES MATARAZZO Owner 908-687-2332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |