| NPI | 1780944108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE DIERNA President 732-671-6621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI00812500) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2012-05-18 |