| 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 |