| NPI | 1265684294 |
|---|---|
| Former Name | JULIANNE MARIE O'CONNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02376300) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2016-03-22 |