| NPI | 1437162807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERENCE JAY SMITH Secretary 201-791-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ D11585) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |