| NPI | 1891248647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL NEIMAN Owner 201-460-3431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22D102310600) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |