NPI | 1386984243 |
---|---|
Doing Business As | SUMMIT DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | ROBERT LORINO Member/Owner 973-342-1233 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NJ 22DI02140400) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI02152600) |
Enumeration Date | 2013-02-28 |
Last Update Date | 2013-02-28 |