| NPI | 1427281351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT HERNANDEZ Office Manager 973-955-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 18029) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |