| NPI | 1801987672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SKJEVELAND Owner, President 973-729-1106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 22DI02125700) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |