| NPI | 1770611105 |
|---|---|
| Former Legal Business Name | BETH DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | VERONICA MARIE BIKOFSKY Member 973-214-2797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2009-06-26 |