| NPI | 1881144897 |
|---|---|
| Doing Business As | MARBLE HILL ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | RYAN WILLIAM WALTER Member 201-841-6159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI02586504) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |