| NPI | 1609949296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA L. DAVICH Business Manager 973-898-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: NJ 22DI01228100) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2008-08-05 |