| NPI | 1205217247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATERINA TOPOL Owner 732-649-3860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 21086) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 18818) |
| 122300000X Dentist (Licence: NJ 20486) | |
| 122300000X Dentist (Licence: NJ 25006) | |
| 122300000X Dentist (Licence: NJ 789003) | |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2017-04-28 |