| NPI | 1497904437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY SCLAFANI President 732-901-1970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 1019138) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NJ 014621) |
| 1223G0001X Dentist General Practice (Licence: NJ 1021108) | |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |