NPI | 1730392630 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN MALDONADO Owner 908-464-5630 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ DI19327) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2020-08-22 |