| NPI | 1760820047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIJANA MIKSA President 201-227-3368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI02337200) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2013-06-10 |