| NPI | 1710583158 |
|---|---|
| Doing Business As | DNTL BAR FIDI |
| Entity Type | Organization |
| Authorized Contact | WALEED BEN ELCHAMI Dentist 201-803-7591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2022-07-11 |