| NPI | 1306953567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE J DIMAIRA Owner / President 973-276-7926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ 17382) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |