| NPI | 1740573039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA GOLDBERG President 973-328-1225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI019490) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2013-09-20 |