| NPI | 1750503488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN C. ALONSO Owner 201-854-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ DI14757) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |