| NPI | 1740720614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA GANDIA Orthodontist 201-774-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI02575602) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |