NPI | 1528326543 |
---|---|
Entity Type | Organization |
Authorized Contact | LIYA OSTROW Partner 732-549-3773 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ DI02405900) |
Enumeration Date | 2012-04-27 |
Last Update Date | 2012-04-27 |