NPI | 1356595565 |
---|---|
Entity Type | Organization |
Authorized Contact | GERALD GELDZAHLER President 973-535-1774 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NY 34075-01) |
Enumeration Date | 2008-11-14 |
Last Update Date | 2008-11-14 |