| NPI | 1184861114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA ROLLINS Office Manager 973-778-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02093500) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |