NPI | 1518171875 |
---|---|
Entity Type | Organization |
Authorized Contact | ARACELYS REYES General Dentist 201-536-1443 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI19690) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2020-08-22 |