| NPI | 1386860815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN RAIMI Bookkeeper 973-769-4897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22di02002700) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |