| NPI | 1336210566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA RANGEL Dentist 973-292-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ DI0212480) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2020-08-22 |