| NPI | 1134278781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN GILMORE Dentist 973-491-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 18882) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 18883) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |