| NPI | 1710050075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLAIM BERNARD GROSS Owner 973-334-3811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 12170) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |