NPI | 1255402293 |
---|---|
Entity Type | Organization |
Authorized Contact | LEON GREENBERG Dentist 201-313-4700 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 21252) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 21295) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2020-08-22 |