| NPI | 1235323825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRY STILLMAN Owner 201-440-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: NJ DI19909) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |