| NPI | 1376721746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT CARRAO Owner 201-585-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ DI20747) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |