| NPI | 1376719450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL LOPEZ President 973-746-0922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 18656) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |