| NPI | 1225159320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH K ELLEN Owner 973-694-8082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-06-19 |