NPI | 1376797068 |
---|---|
Entity Type | Organization |
Authorized Contact | LANA BUNIS Owner 201-204-0737 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NJ 22DI02264800) |
Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02203700) |
Enumeration Date | 2008-11-08 |
Last Update Date | 2008-11-08 |