| NPI | 1366146441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEMASEH NASSEH President 973-454-7820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2023-03-30 |