NPI | 1366657017 |
---|---|
Entity Type | Organization |
Authorized Contact | DARREN W TONG Vice President 201-384-2425 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01829100) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2020-08-22 |