| NPI | 1366518078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILYA LIPKIN Owner Orthodontist 201-666-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2019-03-13 |