| NPI | 1770591984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T VARALLO General Dentist/Owner 201-670-9076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 12571) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2016-10-05 |