| NPI | 1154574804 |
|---|---|
| Former Legal Business Name | PANGBORN DENTAL CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | DARIA BAGAEVA Office Manager 973-361-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2019-12-04 |