| NPI | 1922418276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON DOUGLASS AUE President 973-625-3384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI024331300) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |