| NPI | 1306479902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SKOLNICK Orthodontist 973-578-8788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223E0200X Dentist Endodontics |
| 1223P0221X Dentist Pediatric Dentistry | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |