| NPI | 1588251912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY BANCROFT-DOBRIN Orthodontist/Owner 201-923-3396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2020-12-31 |