| NPI | 1164874376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARIE O VACCARO Sr Mgr Billing & Collections Office 973-972-8664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22DI02319600) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2024-05-20 |