| NPI | 1205956539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAL S WOLFSON Owner 973-365-2265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22D101602300) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2009-10-22 |