| NPI | 1316940224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JIN Owner/Provider 201-224-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22DI02183600) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 047558-1) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-08-22 |