| NPI | 1861728784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER FUENTES President 201-869-3107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22907) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |