| NPI | 1508424284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MOUSSA Owner 201-899-7916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-06-11 |