| NPI | 1548374986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIYA DONSKAYA Dentist Gen Partner 201-868-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 2121252) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 21295) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-08-22 |