| NPI | 1932311941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARI C ZIMMER Secretary 201-652-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 19114) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22065) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 18921) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 10720) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 9871) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |