| NPI | 1174740567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC BALSON President 973-994-1661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NJ 22DI01293000) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |