NPI | 1457417495 |
---|---|
Other Name | ORAL & MAXILLOFACIAL ASSOCCIATES OF NUTLEY, LLC |
Entity Type | Organization |
Authorized Contact | PHILIP M ECHO Oral Surgeon 973-667-5844 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: NJ D1016959) |
Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: NJ D1017058) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2014-09-04 |