| NPI | 1760724967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSHA GLICK President 973-865-2446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 0550291) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |