| NPI | 1316093495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISA VELAZQUEZ Pediatric Dentist 732-473-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 2131600) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |