| NPI | 1326022120 |
|---|---|
| Former Legal Business Name | PASSAIC PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | NELFA CESPEDES Dentist 973-471-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2008-04-03 |