NPI | 1770759094 |
---|---|
Entity Type | Organization |
Authorized Contact | MATT M SAFARI President/CEO 732-842-1155 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02121000) |
Enumeration Date | 2008-05-06 |
Last Update Date | 2008-05-06 |