| NPI | 1215310834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISELA ANA CANTUARIAS President 201-865-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02496500) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |