| NPI | 1376758946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR FRANKLIN SIMMONDS President 973-676-9018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ 17714) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |