NPI | 1790077097 |
---|---|
Doing Business As | MIDDLESEX PERIODONTICS & DENTAL IMPLANTS, PC |
Entity Type | Organization |
Authorized Contact | DANIEL REICH Owner 732-257-7300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI01947900) |
Enumeration Date | 2011-05-05 |
Last Update Date | 2011-05-05 |