| NPI | 1801912159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELFI E MOLINA Owner 201-525-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01993700) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02297400) |
| 1223P0300X Dentist, Periodontics (Licence: NJ 22DI02144303) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI02144303) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |