NPI | 1265965636 |
---|---|
Doing Business As | DENTAL HEALTH 360 |
Entity Type | Organization |
Authorized Contact | DMITRY STILLMAN Owner 201-497-1666 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI01990900) |
Enumeration Date | 2017-04-04 |
Last Update Date | 2017-04-04 |