NPI | 1629500715 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY ANN MAHER Licensing Coordinator 973-598-9555 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02441400) |
Enumeration Date | 2017-03-29 |
Last Update Date | 2017-03-29 |