| NPI | 1295366599 |
|---|---|
| Doing Business As | ENGLEWOOD DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | DANIEL NATHAN GOLDWEIT Owner 201-315-4113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |