| NPI | 1356626139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY HERBST Oral Surgeon 201-601-9262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ DI01888113) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2011-10-12 |