| NPI | 1760697270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUST PELLEGRINI Direct Owner 201-339-1742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI15641) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |