| NPI | 1245722537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO HERNANDEZ-REYES Dentist, Co Owner 201-751-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI02613900) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI02646501) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-01 |