| NPI | 1457560252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID E. TARRAB President 732-389-2422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ DI001693000) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |