| NPI | 1730102864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA ANNE CLOONAN Office Manager 973-338-1383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 10726) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-22 |