NPI | 1386767754 |
---|---|
Former Legal Business Name | FAMILY UNION DENTAL PA |
Entity Type | Organization |
Authorized Contact | JUAN JOSE MUNOZ Dentist 732-840-8822 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NJ 22D102054700) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2020-08-22 |