NPI | 1508462219 |
---|---|
Doing Business As | DNTL BAR UNION SQ |
Entity Type | Organization |
Authorized Contact | WALEED BEN ELCHAMI Dentist 201-803-7591 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-12-08 |
Last Update Date | 2022-07-11 |