| 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 |