| NPI | 1760531156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL LARRY PASTERNACK Owner 856-770-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI00954800) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |