| NPI | 1275798639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY ELLIS Owner Office Manager 973-696-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02134100) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |