| NPI | 1134334428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK ROBERT NOONAN Owner 973-729-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 21555) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |