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 |