| NPI | 1790889061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN THOMAS RIESENBERG Managing Member 908-995-4535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01856400) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2020-08-22 |