NPI | 1831213503 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD D PROCOPIO President 908-273-1525 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 9476) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 9461) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2020-08-22 |