| NPI | 1770790677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL M MESSANA Dentist 201-653-4474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NJ 18514) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |