| NPI | 1518277086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVI WEISFOGEL President 732-257-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2011-02-18 |