| NPI | 1760723068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ABBATICCHIO Owner 732-341-2208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI017432) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2019-02-20 |