| NPI | 1932732856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN C MAHER Managing Member 973-706-8339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |