| NPI | 1457403636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH F KENNEDY Pres 973-778-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI00993400) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |