| NPI | 1922307503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY M TRYON President 201-264-1687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02382600) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |