| NPI | 1902962632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA L EISENSTEIN Owner 856-755-0992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ 22D101115000) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |