| NPI | 1457500811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL MARIE DERMESROPIAN Member 201-327-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02336700) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2008-09-10 |