| NPI | 1730107707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLERMO J MOLINA Owner 201-670-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NJ 22DI01892300) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |