| NPI | 1477763357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN H. FAGIOLI President 732-477-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01476800) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-08-03 |