| NPI | 1205168192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL GOLDBERG Chief Financial Officer 201-521-5920 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NJ 10904) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2011-04-29 |