NPI | 1821095969 |
---|---|
Entity Type | Organization |
Authorized Contact | EVAN SETH KRAUSE Owner/Dentist 973-334-5556 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 14035) |
Enumeration Date | 2005-07-05 |
Last Update Date | 2016-01-05 |