| NPI | 1609895721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN L BAIR Vice President 973-779-4088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01043400) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01742200) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |