NPI | 1740303577 |
---|---|
Entity Type | Organization |
Authorized Contact | KONSTANTINE TRICHAS President 908-626-1970 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 19604) |
Enumeration Date | 2007-04-08 |
Last Update Date | 2020-08-22 |