| NPI | 1164542858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED D DENNIS Dentist 973-778-2226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 16782) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: NJ 19175) |
| 1223P0300X Dentist, Periodontics (Licence: NJ 19965) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |