| NPI | 1801161815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL STEPHEN FREEMAN Owner/ Dentist 201-332-1664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22D100614100) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |