| NPI | 1912427295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL GARY GREEN Peresident/Owner 973-228-0252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 12168) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-07-21 |