| NPI | 1871958264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG APPELSTEIN Treasurer 201-401-5173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: PA DS036725) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |