NPI | 1295752855 |
---|---|
Entity Type | Organization |
Authorized Contact | WARREN ROBERT STENVALL Owner 973-372-2330 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 10861) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2008-05-14 |