NPI | 1346541885 |
---|---|
Doing Business As | ADVANCED PERIODONTICS |
Entity Type | Organization |
Authorized Contact | CORTNEY STUART Office Manager 973-661-2992 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ DI18768) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: NJ DI 20033) |
Enumeration Date | 2010-11-16 |
Last Update Date | 2010-11-16 |