| NPI | 1932870268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN SAUCHELLI GORDON Owner 973-574-1498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2021-12-03 |