| NPI | 1699833566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES P DILASCIO President So Bergen Oral Surgery Pa 201-935-4577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 9227) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 9218) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |