NPI | 1285148395 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY J SAYEGH Owner 973-941-6962 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 059195-1) |
Enumeration Date | 2017-11-28 |
Last Update Date | 2021-12-14 |