| NPI | 1265451447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD MICHAEL TIRPACK Owner 973-729-2113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01305800) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |