| NPI | 1407927528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P. PETROCELLI President 908-218-1788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI00811700) |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2020-08-22 |