| NPI | 1346371648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY HAROLD GROSS Dentist 973-279-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 016856) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2009-02-05 |