NPI | 1265933345 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER ARIELLE SUNKIN Owner 845-642-7337 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI02629000) |
Enumeration Date | 2018-02-23 |
Last Update Date | 2018-02-23 |