| NPI | 1831763028 |
|---|---|
| Former Legal Business Name | AVANT GARDE DENTAL ARTS |
| Entity Type | Organization |
| Authorized Contact | ALEXANDER GERSKOWITZ President 973-904-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2021-05-13 |