| NPI | 1659576643 |
|---|---|
| Doing Business As | BROOKDALE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | VINCENT PAUL DEVINCENTIS Partner 973-338-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DIO1738000) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2008-06-24 |