NPI | 1285872515 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRILL FAY Owner 973-714-1863 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 052966) |
Enumeration Date | 2009-01-23 |
Last Update Date | 2015-04-16 |