| NPI | 1275961815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN F BOVINO Partner 201-585-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NJ 015109) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |