NPI | 1477670206 |
---|---|
Entity Type | Organization |
Authorized Contact | KONSTANTINE TRICHAS President 973-746-7771 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01960400) |
Enumeration Date | 2007-03-25 |
Last Update Date | 2015-08-31 |