| NPI | 1801813530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP ANTHONY BALDO President 908-859-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ di20067) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |