| NPI | 1639559727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON MERCY ADAMS Owner 973-377-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22D10795800) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |