| NPI | 1861609786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY THOMAS SURIANO Co Owner 973-748-2248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-04-23 |