| NPI | 1386773844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN KORETZKY Vice President 973-763-2940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01951600) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |