NPI | 1578199485 |
---|---|
Other Name | STONFEGATE DENTAL LLC |
Entity Type | Organization |
Authorized Contact | MICHAEL CHUSID Owner 973-736-1777 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-03-23 |
Last Update Date | 2020-03-23 |