| NPI | 1265896070 |
|---|---|
| Doing Business As | PRIMECARE DENTAL |
| Entity Type | Organization |
| Authorized Contact | TAEHYUNG MOON President 973-955-4928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22di02569100) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-11-17 |