| NPI | 1912026998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK CARCIONE President 201-327-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 14632) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 16606) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |