| NPI | 1730220534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL A. KAGAN Doctor 908-753-1772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 11448) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 12394) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |