| 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 |