| NPI | 1467688697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELMUTH VALDEZ Manager 973-345-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02069900) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-02 |