| NPI | 1578728226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY ELLIS Office Manager 201-845-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02134100) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |