| 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 |