| NPI | 1144340837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT THOMAS PICCOLI President 201-891-5352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 8094) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |