| NPI | 1306347877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA PATRAS Managing Member 973-729-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI02246400) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |