| NPI | 1710240858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARWAN BASSIL BASSIL Owner 908-722-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI020751) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NJ 22 DI 02249700) |
| 1223G0001X Dentist, General Practice (Licence: NJ 22 DI 02312200) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2015-07-30 |