| NPI | 1598880296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN FOREST CROOMS President Treasurer 973-824-9085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22D100662900) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |