| NPI | 1710005913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE OHEA President 973-887-8780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ DI020710) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |