| NPI | 1265628333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAKSIM LYUBARSKIY Owner 732-462-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ DI21267) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |