| NPI | 1568686384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRY SHTILMAN Dentist 201-386-0353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI01990900) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |