NPI | 1659580835 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT MASON President 201-941-4777 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01188600) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2020-08-22 |