| NPI | 1366008864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUSEF MOUSSA Owner/Dentist 973-744-1527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-06-11 |