| NPI | 1285751941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARYN FERN MILLER Periodontist 973-635-4960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ DI15174) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |