| NPI | 1821159302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUSTAVO A GARCES Owner 201-816-8696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI021495) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-05-01 |