| NPI | 1568591162 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | HANIEL ROSEMOND President 973-762-2660  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 17250)  | 
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 16564)  | 
| Enumeration Date | 2007-03-02 | 
| Last Update Date | 2025-09-11 |