| NPI | 1336909118 |
|---|---|
| Former Legal Business Name | FREDERICK J CARBONE DDS |
| Entity Type | Organization |
| Authorized Contact | FREDERICK J CARBONE Owner 973-228-0039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |