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 |