NPI | 1639264773 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT M MARINO Owner 908-359-1112 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI09909) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2020-08-22 |