| NPI | 1588799803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FRATTELLONE Owner 732-842-5915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 16514) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2013-12-23 |