| NPI | 1790053163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATERINA TOPOL Owner 732-257-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 21086) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 02449300) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 023133) | |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |