| NPI | 1639533375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK DICICCO President 973-694-5101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI1867000) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |