NPI | 1225225824 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN CRAIG DUBOFF Dentist 802-775-6981 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ D101741700) |
Enumeration Date | 2007-09-27 |
Last Update Date | 2007-09-27 |