| NPI | 1639398316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA G AMBROSIO Dentist 973-694-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 15610) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2010-08-25 |