| NPI | 1568591162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANIEL ROSEMOND President 973-762-2660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 16564) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 17250) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |