| NPI | 1518434935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ETHAN SKOLNICK Owner 973-472-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |