| NPI | 1700923216 |
|---|---|
| Doing Business As | VALLEY ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | VITO MODUGNO Owner President 201-681-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: NJ DI 18054) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-08-26 |