| NPI | 1619843000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IZABELA WYSOCZANSKI Manager 973-773-2933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-10-14 |
| Last Update Date | 2025-10-14 |