| NPI | 1285654780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LYNN GOLDFARB Owner/Periodontist 201-692-1510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ 22DI01311800) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |