| NPI | 1730587783 |
|---|---|
| Doing Business As | VISITING DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | BRANDON STATFELD CEO 201-670-0097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2022-11-08 |