| NPI | 1386795409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEDES OSUALA Owner Administrator 973-325-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02143500) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |