| NPI | 1649429325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL R KORB President, Dentist 973-540-1460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22D100865201) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |