| NPI | 1730301821 |
|---|---|
| Former Legal Business Name | ORANGE STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. DIAMOND President 973-481-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI00913400) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2008-07-03 |