| NPI | 1578704508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DURANTE Oral/Maxillofacial Surg./Pres. P.A. 908-464-4664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 22DI01381600) |
| Enumeration Date | 2009-03-22 |
| Last Update Date | 2009-03-22 |