| NPI | 1437968690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINA ELFAR Owner 201-921-4667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223E0200X Dentist Endodontics |
| 1223P0221X Dentist Pediatric Dentistry | |
| 1223P0300X Dentist Periodontics | |
| 1223P0700X Dentist Prosthodontics | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| 122300000X Dentist | |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2025-01-02 |
| Last Update Date | 2025-01-02 |