| NPI | 1194819870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A MANCINO Owner 908-359-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI10176) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |