| NPI | 1285777474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH JOSEPH COLAMEO Vice President 201-342-7353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |