| NPI | 1841513918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVI WEISFOGEL President 732-254-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ DI20783) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2011-04-11 |