| NPI | 1851847024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW S SILVERSTEIN Sole Member 814-360-4792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ 22DI02594900) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |