| NPI | 1568618304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SKOLNICK President 973-578-8788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22D102349300) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22D102353600) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2018-08-29 |