NPI | 1568591949 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNDA MABENE Dentist Owner 908-284-5050 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 20253) |
Enumeration Date | 2007-03-03 |
Last Update Date | 2020-08-22 |