| NPI | 1316202963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA J GRIEDER-ROBERTO Owner 973-627-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI02197300) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |