| NPI | 1558720698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLAD DETINICH President 732-322-9297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ Di021211) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |