| NPI | 1619120664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER D TSAMBAZIS Periodontist/Owner 973-586-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ 18218) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 18218) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2016-03-21 |