| NPI | 1639155336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE J. DIERNA President 732-363-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2011-09-13 |