| NPI | 1386883668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD M JACKSON Pediatric Dentist 201-487-7030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ D121365) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |