| NPI | 1275781890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY Z. BARDASH Dentist 201-797-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01694700) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI00918500) |
| 1223G0001X Dentist, General Practice (Licence: NJ 22DI02340000) | |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2017-04-28 |