| NPI | 1386086783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH APPELBAUM Sole Member 973-600-0725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NJ 22DI02411400) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-07-25 |