| NPI | 1275672362 |
|---|---|
| Former Legal Business Name | GARY M PRISAND DMD, P.A. |
| Entity Type | Organization |
| Authorized Contact | STEPHEN ABBATICCHIO Owner 732-981-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ DI00995900) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2019-02-20 |