NPI | 1508919143 |
---|---|
Entity Type | Organization |
Authorized Contact | HERBERT H PORTNOFF President 732-549-3773 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22D100712900) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2020-08-22 |