NPI | 1548517295 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN ABBATICCHIO Owner 732-473-1444 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI017432) |
Enumeration Date | 2012-08-13 |
Last Update Date | 2019-02-20 |