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 |