| NPI | 1710002944 |
|---|---|
| Doing Business As | MAIN STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARK M GIORNO Owner 856-692-1660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ D1018081) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |