| NPI | 1396868154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ABBATICCHIO Owner 732-817-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI02239800) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |