| NPI | 1639274400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNE CONFALONE CEO/Dentist 201-970-8171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI021352) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2021-05-12 |