NPI | 1154771855 |
---|---|
Doing Business As | PEDIATRIC DENTISTRY OF WAYNE |
Entity Type | Organization |
Authorized Contact | FRANK J FERRARA Member 973-696-6002 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22d102487500) |
Enumeration Date | 2016-06-14 |
Last Update Date | 2016-06-14 |