NPI | 1164781746 |
---|---|
Doing Business As | BRANFORD DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | WOO IL STEVEN PARK Dentist 973-424-0040 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02324700) |
Enumeration Date | 2012-05-16 |
Last Update Date | 2012-05-16 |