| NPI | 1740361724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN NICHOLAS GORAB Oral Surgeon 973-778-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |