NPI | 1689162372 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN ABBATICCHIO Owner 856-857-0033 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI017432) |
Enumeration Date | 2018-04-27 |
Last Update Date | 2019-02-20 |