NPI | 1619160264 |
---|---|
Entity Type | Organization |
Authorized Contact | VLADIMIR MESKIN Dentist/Owner 201-440-2100 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI18910) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: NJ DI22492) |
Enumeration Date | 2007-08-27 |
Last Update Date | 2007-08-27 |