| NPI | 1457594350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL S FREEMAN Owner/Dentist 201-332-1664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ 22D100614100) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-04-08 |