NPI | 1366714289 |
---|---|
Entity Type | Organization |
Authorized Contact | HENRY NARDEA Owner 732-859-3353 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2012-02-08 |
Last Update Date | 2012-05-14 |