NPI | 1861524100 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT M GORZELNIK Owner 973-627-6006 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0106X Dentist Oral and Maxillofacial Pathology (Licence: NJ 7621) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2020-08-22 |