| NPI | 1306269758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR REVECHKIS Managing Director 201-725-0372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CT 010025) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |