| NPI | 1487275046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SCHEPIS Owner 201-343-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |