| NPI | 1417017146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MINICHETTI President 201-871-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 22DI01893500) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2012-09-13 |