NPI | 1265644579 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE MATUS Office Manager 973-729-7100 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI08978) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ DI20516) |
1223G0001X Dentist, General Practice (Licence: NJ DI18055) | |
Enumeration Date | 2007-05-07 |
Last Update Date | 2020-08-22 |