| NPI | 1518302314 |
|---|---|
| Doing Business As | MAIN STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARK GIORNO Owner 858-848-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 18081) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2013-05-07 |